Menu

Do Not Resuscitate (DNR) Florida

Document Name

Do Not Resuscitate Order

Where do you get the form

A blank form (DH Form 1896) can be obtained from the Florida Department of Health or from a physician or other medical professional. To be legally valid, the form MUST be printed on yellow legal paper.

Who is permitted to request a DNR for themselves

Only a person with an end stage medical condition or appropriate representative of that person can secure a DNR.

Who signs the form

The form must be signed by the patient’s physician as well as the patient or the patient’s healthcare proxy.

How do you obtain a DNR bracelet

Florida does not recognize a metal DNR bracelet or necklace. Instead, they have what’s called a “patient identification device”, which is a miniature version of DH Form 1896. It is a perforated section of the form and can be detached. It can be used as a wallet card or it can be hole-punched, attached to a chain and visibly displayed on the patient. It should be laminated for protection after the information on it has been completed. Please note that this device must also be signed by the patient’s physician and the patient or patient’s healthcare proxy.

Revoking a DNR

A DNR order may be revoked at any time by the patient, if signed by the patient, or the patient’s healthcare proxy. It may also be revoked orally.

Photocopy

A photocopy is valid; however, like the original it must be printed on yellow legal paper.